6R4-33904-89139
4 vaccinations
6 coded responses
40 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 606 / IL
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-22
Dose 1 — Pfizer-BioNTech
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
-
2021-02-10
Dose 2 — Pfizer-BioNTech
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Nausea, Pain — Feeling: Good · Site: PainFree text: The day after the vaccine (2/11/21), I felt moderate fatigue, mild nausea, and mild body aches. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-18
- 2021-03-24
-
2021-05-12
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: A cold with symptoms of sore throat, runny nose, cough. (I tested negative for covid)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-11
-
2021-10-01
Dose 3 — Pfizer-BioNTech
-
2021-10-01
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-03
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal discomfort — Feeling: Good · Site: PainFree text: Some GI distress (not quite diarrhea)MedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
-
2021-10-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
-
2021-10-29
Survey response — day 28, dose 3MedDRA: Pregnancy test positive — Feeling: GoodFree text: Positive pregnancy testMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-12
- 2021-12-31
- 2022-04-03
-
2022-05-05
Call successfulParticipant prefers to complete VAERS report online
-
2022-05-27
Dose 4 — Moderna
- 2022-06-24
- 2022-07-01
-
2022-07-10
Survey response — day 42, dose 4MedDRA: Caesarean section, Delivery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Had a baby via c-sectionMedDRA releases: 2024-11 · check-in free text available
-
2022-07-10
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-07-11
- 2022-07-11
-
2022-11-27
Survey response — 6 months, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Have had several colds, but always negative for covidMedDRA releases: 2024-11 · check-in free text available
-
2022-11-27
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-28
- 2022-11-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-10 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-05-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-12 | Successful 2022-05-05 |
Participant prefers to complete VAERS report online |
| 2022-07-10 | Unsuccessful | |
| 2022-11-27 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The day after the vaccine (2/11/21), I felt moderate fatigue, mild nausea, and mild body aches. No fever.
Release 8 — 3 months, dose 2
Symptoms: A cold with symptoms of sore throat, runny nose, cough. (I tested negative for covid)
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Some GI distress (not quite diarrhea)
Release 10 — day 28, dose 3
Symptoms: Positive pregnancy test
Release 12 — day 42, dose 4
Symptoms: Had a baby via c-section
Release 12 — 6 months, dose 4
Symptoms: Have had several colds, but always negative for covid
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Caesarean section | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pregnancy test positive | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release